Routine inspection (multi-day)·August 24, 2023

On 08/24/2023 at 11:00 AM, Licensing Program Analysts (LPAs) L. Alexander and L. Hall arrived unannounced to conduct an continued 1-Year Annual Required inspection from previous visit on 07/26/2023. LPAs met with Caregiver, Marilin "Lin" Alegria and explained the purpose of the visit. LPA spoke with Administrator, Ogedi Okeigwe, via telephone. LPAs reviewed 4 resident files from previous visit on 07/26/23. LPAs reviewed 1 resident file on today's visit. LPAs reviewed 6 staff files and 5 of 6 staff had CPR/AED/First Aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPAs observed during visit on 7/26/2023, that Licensee/Administrator was out of the country and had been for approximately a month and did not notified CCLD of their absence. There was no substitute Administrator notified. LPAs observed during record review that S4, S5 and S6 was missing health screening and TB tests. LPAs observed during record review and interview that R4 expired on 8/17/2023. Facility did not submit a death report to CCLD. LIC 809C Continued LIC 809 Continued... LPAs observed R1 was admitted into hospice services on 7/13/2023. Facility did not notify CCLD of hospice services. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 08/31/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Exit interview conducted. Appeal Rights and a copy of this report provided.